- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05511831
The Efficacy and Safety of Ketotifen in Primary PCI Patients With STEMI
August 22, 2022 updated by: Peking University Third Hospital
A Randomized Controlled Study on the Efficacy and Safety of Ketotifen in Primary PCI Patients With STEMI
The purpose of this study was to evaluate the efficacy and safety of ketotifen (MC stabilizer) on the basis of standard treatment after primary PCI in STEMI patients.
The ketotifen group and the control group were the ketotifen group and the control group.
The control group continued to receive STEMI standard treatment.
The ketotifen group received ketotifen for 3 months on the basis of standard treatment within 24 hours after primary PCI, and was followed up for 1 year.
Infarct size, as well as differences in echocardiography, markers of two-dimensional speckle tracking, inflammatory factors and MC markers, and major adverse cardiovascular events.
Study Overview
Status
Not yet recruiting
Intervention / Treatment
Detailed Description
Percutaneous coronary intervention (PCI) is the best way to improve the prognosis of patients with acute ST-segment elevation myocardial infarction (STEMI).
However, STEMI after PCI may still have ischemia-reperfusion injury, inappropriate ventricular remodeling and myocardial fibrosis, which may be related to the inflammatory response of STEMI.
Mast cells (MCs) and their degranulation products play an important role in the inflammatory response as well as inducing a series of inflammatory factors.
It has been observed in animal experiments that MC stabilizers can improve the ejection fraction, reduce myocardial infarction size and myocardial fibrosis in patients with STEMI, but there is a lack of clinical studies to confirm the role of MC stabilizers in STEMI.
The purpose of this study was to evaluate the efficacy and safety of ketotifen (MC stabilizer) on the basis of standard treatment after primary PCI in STEMI patients.
The ketotifen group and the control group were the ketotifen group and the control group.
The control group continued to receive STEMI standard treatment.
The ketotifen group received ketotifen for 3 months on the basis of standard treatment within 24 hours after primary PCI, and was followed up for 1 year.
Infarct size, as well as differences in echocardiography, markers of two-dimensional speckle tracking, inflammatory factors and MC markers, and major adverse cardiovascular events, to demonstrate that ketotifen can reduce ischemia-reperfusion injury and improve ventricular reperfusion in AMI.
It provides new ideas for the treatment of AMI and a new basis for the optimization of STEMI treatment strategies.
Study Type
Interventional
Enrollment (Anticipated)
60
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Ming Cui, Doctor
- Phone Number: +8615611908487
- Email: mingcui@bjmu.edu.cn
Study Contact Backup
- Name: Penguin Xie, master
- Phone Number: +8618810793282
- Email: xiepengxin2014@163.com
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Ages above 18 and below 80, gender is not limited;
- Meet the diagnostic criteria for STEMI (diagnostic criteria: ischemic chest pain lasting ≥30 min; ST segment elevation in two or more adjacent leads on the ECG or new left bundle branch block; with or without elevation of myocardial markers) , have completed primary PCI, and received standard treatment according to the Chinese "Guidelines for the Diagnosis and Treatment of Acute ST-segment Elevation Myocardial Infarction (2019)", including dual antiplatelet, anticoagulation, beta receptor Blockers, statins, etc.
- No contraindications to ketotifen;
- Agree and cooperate with participating in this research.
Exclusion Criteria:
- Severe heart failure, such as Killip grade III-IV or LVEF <35%;
- Coronary artery bypass grafting within the past 3 years or planned;
- The patient is using or planning to use long-term oral or intravenous glucocorticoids (inhaled and topical hormones are allowed);
- Patients with severe liver and kidney disease;
- Patients with a history of cancer or lymphoproliferative diseases in the past 3 years;
- Implanted metal in the body or claustrophobia cannot accept cardiac MRI;
- Pregnancy or breastfeeding.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: ketotifen
Ketotifen was added to the standard treatment within 24 hours after the completion of primary PCI for 3 months, taking 1 mg each time, 1-2 times a day according to the patient's tolerance.
|
Ketotifen treatment for 3 months, 1 mg each time, 1-2 times a day according to the patient's tolerance
Other Names:
|
Sham Comparator: Control group
Standard treatment according to guidelines
|
Standard treatment methods will be determined according to the Guidelines for the Diagnosis and Treatment of Acute ST-segment Elevation Myocardial Infarction (2019) [19], including primary PCI, dual antiplatelet, anticoagulation, ACEI/ARB/ARNI, β-receptor blockade drugs, statins, etc.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Myocardial infarct size
Time Frame: 3 months after myocardial infarction
|
Myocardial infarct size was assessed by cardiac MRI
|
3 months after myocardial infarction
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
left ventricular systolic function
Time Frame: 24 hours, 1 month, 3 months, and 12 months after myocardial infarction
|
Transthoracic echocardiography to measure LVEF, left ventricular end-diastolic diameter, Em/Sm
|
24 hours, 1 month, 3 months, and 12 months after myocardial infarction
|
Left ventricular ultrasound strain
Time Frame: 24 hours, 1 month, 3 months, and 12 months after myocardial infarction
|
Two-dimensional speckle tracking imaging measures the movement in the long-axis direction as the overall longitudinal strain, the movement in the short-axis direction as the overall radial strain, reflecting the degree of wall systolic thickening, and the annular motion in the short-axis direction as the overall circumferential strain
|
24 hours, 1 month, 3 months, and 12 months after myocardial infarction
|
inflammatory factors and MC markers
Time Frame: 24 hours, 1 month, 3 months, and 12 months after myocardial infarction
|
Analysis of inflammatory factors (such as TNF-α, IL1, IL6, etc.) and MC markers (chymotrypsin)
|
24 hours, 1 month, 3 months, and 12 months after myocardial infarction
|
major adverse cardiovascular events
Time Frame: 12 months
|
MACE events (death, nonfatal myocardial infarction, unplanned revascularization, hospitalization for angina and readmission for heart failure)
|
12 months
|
Drug-Related Adverse Reactions
Time Frame: 12 months
|
Fatigue, lethargy and lethargy, nausea and other gastrointestinal adverse reactions
|
12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Ming Cui, Doctor, Peking University Third Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
September 1, 2022
Primary Completion (Anticipated)
December 31, 2023
Study Completion (Anticipated)
December 31, 2024
Study Registration Dates
First Submitted
August 19, 2022
First Submitted That Met QC Criteria
August 22, 2022
First Posted (Actual)
August 23, 2022
Study Record Updates
Last Update Posted (Actual)
August 23, 2022
Last Update Submitted That Met QC Criteria
August 22, 2022
Last Verified
August 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Ischemia
- Pathologic Processes
- Necrosis
- Myocardial Ischemia
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Myocardial Infarction
- Infarction
- ST Elevation Myocardial Infarction
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Dermatologic Agents
- Anti-Allergic Agents
- Histamine H1 Antagonists
- Histamine Antagonists
- Histamine Agents
- Antipruritics
- Ketotifen
Other Study ID Numbers
- M2022319
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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